Osteoporosis: What Can I Do About It? Presented by: Shara Arnofsky, MS PT Core Strength Physical...
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Transcript of Osteoporosis: What Can I Do About It? Presented by: Shara Arnofsky, MS PT Core Strength Physical...
Osteoporosis: What Can I Do About It?
Presented by:Shara Arnofsky, MS PTCore Strength Physical Therapy, LLC1430 2ND Avenue(212) 861-1870
Celebrate National Osteoporosis Awareness and Prevention Month "Standing Tall for You"MAY 2007
What is Osteoporosis?
A disease characterized by low bone mass and structural deterioration of bone tissue
A loss of 10%-20% of bone mass indicates the onset of osteoporosis
Known as the “silent disease” due to its symptom free nature. The fractures often are undetected, delaying treatment & prevention of further fractures
Can lead to collapsed vertebrae which causes the symptoms of severe back pain, loss of height, or spinal deformities including stooped posture
May Is National Awareness MonthOsteoporosis Ambassador
Entertainer, businesswoman and NOF Ambassador, Joan Rivers was diagnosed in 2002.
Motivated to become an advocate for osteoporosis awareness when her doctor told her, “if she keeps going on stage, she may break a hip and die.”
She emphasizes need for all genders, ages, and ethnicities to be aware of osteoporosis and take care of their bones.
Ms. Rivers stresses the disease is largely preventable and treatable.
Osteoporosis Statistics
1 in 2 women & 1 in 4 men > 50 yrs will suffer an osteoporosis related fracture
Fractures can be spontaneous and caused by everyday life activities
1 in 5 hip fracture patients end up permanently in a nursing home
People on bed rest lose ~1% of bone density per week
Osteoporosis Risk Factors
Females Thin and/or small frame body type Advanced age Family history of osteoporosis Estrogen deficiency due to menopause Abnormal absence of menstrual periods
(amenorrhea) Anorexia nervosa Low lifetime calcium intake
Osteoporosis Risk Factors
Vitamin D deficiency Use of certain medications (corticosteroids,
chemotherapy, anticonvulsants and others) Low testosterone levels in men Inactive lifestyle Current cigarette smoking Excessive use of alcohol Being Caucasian or Asian, although African
Americans and Hispanic Americans are at significant risk as well
Osteoporosis Detection
Bone Mineral Density (BMD) testing– An increase in BMD testing and osteoporosis
treatment was associated with a decrease in hip fracture incidence
– Medicare reimburses for BMD testing every two years
Posture and Balance Screening
Osteoporosis Prevention
Maintain a diet rich in calcium and vitamin D Perform weight-bearing and resistance-training
exercises Follow a healthy lifestyle with no smoking or
excessive alcohol intake Regular visits to one’s healthcare professional to
discuss bone health Schedule periodic bone density tests and take
medication when appropriate
Exercise and Osteoporosis
Just as a muscle gets stronger with use, a bone becomes stronger and denser when stressed
Research has shown that the progression of bone loss can be stopped by exercise alone
Types of Exercise
Strength training– The use of weights
or resistance to build muscle and strengthen bone
Types of Exercise
Weight bearing aerobic– Doing aerobic activity
while on your feet– Swimming and biking
have many benefits, but are non-weight bearing
Types of Exercise
Flexibility– Increase the mobility
of joints, preventing muscle injury and improving posture
Exercise Precautions
High impact exercises– These can increase compression on the spine
leading to fracture Flexion based exercises
– Causes excessive compression on the anterior of the vertebrae (trabecular bone) which is weakest in those with low BMD
Side Bending and Rotation in Flexion
Spinal Extension Exercise
The posterior surface of the vertebrae have denser type (cortical) bone which is less at risk of fracture
One study shows that those with strong back extensor muscles had higher BMD in the spine
Another study shows that strong back extensors correlated with fewer vertebral fractures
What is Pilates?
Program designed to stretch, strengthen, and balance the body
Movement principles focus on whole body health, whole body commitment, and breath
Method of exercise developed by Joseph Pilates
Safe Initiation of Pilates for Osteoporosis
ALWAYS obtain MD clearance before starting any exercise program
Obtain a safe evaluation of function, strength and balance
Receive proper education on osteoporosis Do’s and Don’ts
Learn proper posture and body mechanics Learn proper breathing techniques
Bone Building Through Pilates
Focuses on body awareness, lengthening and alignment
Focuses on abdominals without using risky “crunches”
Requires the maintenance of optimal spinal posture during most exercises
Encourages thoracic spine extension to prevent hunch back posture
Medication Options
Antiresorptive Calcitonin Hormone Therapy Bone Forming
NOF’s Updated Recommendations
1200 mg of calcium / day for adults 50 and older
800 – 1,000 I.U. of vitamin D3 / day for adults 50 and older
Fall Prevention
Clear Floors Bathroom Safety Bright Lighting Kitchen Safety General Precautions
SummaryWhat Can I Do About Osteoporosis?
Be screened by a licensed healthcare
professional
Maintain a healthy lifestyle
Establish a safe and effective exercise
program
QUESTIONS?
Call For Your Screening
Shara Arnofsky, MS PTCore Strength Physical Therapy, LLC
1430 2nd Avenue
between 74th & 75th st
Suite 102
www.corestrengthpt.com
(212) 861-1870